Permit CITY OF TIGARD ELECTRICAL PERMIT
PE RMIT #: ELC2008 -00147
° . COMMUNITY DEVELOPMENT
DATE ISSUED 3/14/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S102BA - 00600
SITE ADDRESS: 09710 SW TIGARD ST ZONING: I -
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT : 059 JURISDICTION: TIG
PROJECT: WILLAMETTE ELECTRIC
Project Description: Installing (5) branch circuits for office remodel.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
GREGORY & GEORGE MULL WILLAMETTE ELECTRIC INC
19350 SW POMONA DR PO BOX 230547
BEAVERTON, OR 97007 TIGARD, OR 97281
Phone: 'Contact #: PRl 503 - 624 -3631
FAX 503- 624 -2938
. FEES
Description Date Amount Reg #: ELE 34 -283C
IELPRMT] ELC Permit 3/14/2008 $73.45 LIC 75059
[TAXI 12% State Surchar 3/14/2008 $8.81 SUP 4226S
Total $82.26 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for
more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: i rmittee Signature: See'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
•
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
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ca Permit A>p �c9tioe �, ®e. er Permit No.: , LG, c�5i 7
v
�. C12 SW Tigard e n Review X37
• 13125 SWHdIB1vl..Tegard(•'1 i p hnPcrmlt, / "r��� < " .3
i Q Du u- ® See page 2 for
Phone: 503.639.4171 Fax: 13. 8.1960 o Snppleatentallninraeaom
M p 1 2 200 D°1°
Inspection Lino: 503.639. Notified/Method! 1' 1-' Intoner vwwaigard•or.Fo
� g • I REVIEW
T OF es ?leap Hoek al drat oppt (submit 1 sue of plane or/items Gliwice hdo W }:
CI Now construction C Additiortla �; U Syria or feeder 400 snipe or more 0 Buildina ova tune stones.
Q
❑ j)mnOlitlOn El v whoa Ina available tnoh wnent D Martians ono boatyards. .
meads I 0,000 :Op at 06 w or CI Flaming buildtrist
CATEGORY OF CONSTRUCTIOM 1000 m gonad, or a o:cats 44.000 0 Colmmerdal tin II agriallunll
❑ I- and 2- family dwelling are o mm erci at/industrial El building amps foe all otbet iaW 41641x► p buildings. 7S KVA or
rim pop law separo 75 derived.ryrtem.
Mult:•femil ❑ Master builder In Other: 0 ay r : ,e,.
10N AND LOCATION ❑ Addition of new molar load or 10 "A" "E". "1.2
JOB 9Rt RVF ORIirIi�T 100HP or more, occupancy.
r 1- ❑ Slit or mote residential toils. 0 Recreational vehieta puke.
Job no.: (37(r I Job site address: 77 -1-76.,44e. a 0 Supply.nitagefm mat than
O He rTdo11 a fat 00311 600 vole nominal.
City /State(ZIP: TianftO �- ORaredorsWestoat.
Pro eat name: LJ qy 0 Service or tender 600 amps or mme.
Sultc/bl.dg Iapt no.: J AtMI G1ft t ��- PEE SCHEDULE
beerriatlm 140, I lee. lard f Cross street/directions to job site: New reeidendat single- or muki•famlly dwelling nail.
• Includes attached gam.
Subdivision: I Lot no.: 1.000 so. R. ^
or less 145.15 4
Ea. Ildd'1500 oq. ft. or pesrtion 33.40 I
• Tax map(parcel no.; Limited energy, residential 7500 _ 2
DESCRIPTION OF WORK (with abo•• w• 1 19
Limited energy, multi - family 75.00 2
•
residential (with above R.)
�tL�6 ry ` Servkes or feeden lns1 1b alaration, ■nd/nr relocation
200 amps or less - 80,30 2
PROPITItTY OWNER I
i 0 TENANT 201 amps to 400 amps 106.65 2 ,
401 amps to 600 amps 160.60 2 . Nome: /►'V (�/✓�C M 4 ! 601 amps to 1.000 a mps 240 -. 2
s t' 3 5v g� /- l v G Over 1,000 amps or volt. 454.65 d 2
• Addtes' y /� Temporary serviees or feeders installation, alteration, and/or
• City /Stale /ZIP: ,✓ U� ti '7007 retoutIen
Phone: ( ) ' Fax: ( ) 100. 200 amps or leas 66,85 • 1
30 2
Owner ioatalbatton: This installation is being made on property that 1 own which is not 4D I amps to 599 amps 133. 2
• intended for sale, loose, rent, or outline, according to ORS «' .449; 670, and 701. Branch circuits- new alteration, or extension, par panel
Owner Signaturc:. Date: A. Pee for branch circuit► with
Q APPLICANT i 0 CONTACT' PERSON • above service or feeder fee. 6.63 1.
each branch circuit
Business name: B. Fee for branch circuits
ttr service or feeder fat, 1 46.65 4 2
Contact name: first branch circuit Each Datil branch circuit 6.65 2t. =• 2
AAdfest: • Ti,cellaneous (service nr feeder not Ineladed
Ciry/Stat:JZIP: arc t marmfacausd or modules 90.90 2
dwelling, service ardlor feeder
PhOrn: ( } I Fax:: ( ) Reconnect only 66.85 2
• E -mail Pomp co irrigation circle r 53,40 2
CONTRACTOR S ign or outline lighting 53.40 2
3(gnal eircuie(s) or Wilted-
•
Business name: _..L - R7s tr4 c- , - 712 - 1c - 'T 'T energy panel. alteration or
extension. Describe; Page 2 2
Address: 'p �. -acre.. 23 P °tj:2
Each additional Inspection over allowable i n any,of the shove
CirylState/ZIP: '�ls1/tnTt� ( ��(
Perinspection 62.50
Ptl*ne: (W3) t:024 - 1 31 I FDx: ($k )Lo2 "' VIZ IS Investigation per hour (I hr min) 62.50
industrial plant perhour 73.75
CCB Lic.: "7se. yg Electrical Lit.' 34. 23 L I sup,. Lie..: qzzt4 s ELECTRICAL PERMIT FEES
Suprv. Electrician signature, re:gtrired �— Subtotal: 73 r
•
• plan review (25% of pe:etnitfcc): 0
Print name: '� � cot Date: 3' 1Z- a� State surcharge (12%ofpa,mlt 8 81
Authorized signature: 70TAL PERMIT FEE: 82, 7�
- This permit *photon copra, I(a Fermi' Is not obtained wirkia I0o • Print noise: I Dale: days otter it bat been accepted u complete.
• • N umbsr ofinppectiem per
allowed per wait.
Ilautldinglermi LuI.C.PnniImp.doc 0123rM ua46ISillI
CITY OF TIGARD . .
BUILDING DIVISION ` PERMIT #: EL x30013.00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3114/2004
Phone: (503) 639 -4171 I* I I
Inspection Requests (24 Hrs.): (503) 639 -4175 . `.I ..
INSPECTION WORKSHEET FOR DATE: 4/10/2000 TIME: 7:02AM PAGE: 27
SITE ADDRESS: 09710 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: WILLAMETTE ELECTRIC
DESCRIPTION: Inslalling (5) branch circuit!: for office remodel.
OWNER: MULL., GREGORY & GEORGE PHONE #:
CONTRACTOR: WMLLAMEfTE ELECTRIC INC PHONE #: 503-6243631
Inspection Request Scheduled For: Date: 4/10/2008 Pour Time:
Code # Inspection Description --Gota irm # Contact # Message
120 Eloctiical rough-in / f 06816fr 1 503 -674 -3631 N
Corrections /Comments /Instructions:
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v e N 66 Date: 4.11 Phone #: (503) 718 Ititik,
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC200800147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31/4/2000
Phone: (503) 639 -4171 �'"' p,} 1
Inspection Requests (24 Hrs.): (503) 639 -4175 - L
INSPECTION WORKSHEET FOR DATE: 4/24/2008 TIME: 7 :01AM PAGE: 19
SITE ADDRESS: 09710 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: WILLAMETTE ELECTRIC
DESCRIPTION: Installing (6) branch circuits for office remodel.
OWNER: MULL, GREGORY & GEORGE PHONE #:
CONTRACTOR: WILLAMETTE_' ELECTRIC INC PHONE #: 503-624 - 3631
Inspection Request Scheduled For: Date: 4/24/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
130 Ceiling cover 066851 -01 503 624 -3631 N
Corrections /Comments /Instructions:
PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C., NI S€ Date: 411 et Phone #: (503) 718- 144L_____
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: ELC2008- 00147
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3114/2008
Phone: (503) 639 -4171 /4. n, nI
Inspection Requests (24 Hrs.): (503) 639 - 4175 '._..
INSPECTION WORKSHEET FOR DATE: 5/28/2008 TIME: 7 :00AM PAGE: 20
SITE ADDRESS: 09710 SW TIGARD ST CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: WILLAMETTE ELECTRIC
DESCRIPTION: Installing (5) branch circuits for office remodel.
OWNER: MULL, GREGORY & GEORGE PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 - 624 -3631
Inspection Request Scheduled For: Date: 5/28/2008 Pour Time:
Code # Inspection Description I C / onfirm_# Contact # Message
120 Electrical rough -in \ 070444.01 503- 624 -3631 N
Corrections/Comments/Instructions:
X1 6 u' 8 "
►'�/ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CrTh INI 66 LC Date: S11) Phone #: (503) 718- 1-4
CITY OF TIGARD .. .
BUILDING DIVISION PERMIT #: ELG200 &00147
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3/14/2000
Phone: (503) 639 -4171 � J .� W,i � I
Inspection Requests (24 Hrs.): (503) 639 -4175 A '__..
INSPECTION WORKSHEET FOR DATE: 7/31/2008 TIME: 7 :00AM PAGE: 7
SITE ADDRESS: CLASS OF WORK:
09710 SW TIGARD ST
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: WILLAMETTE ELECTRIC
DESCRIPTION: Installing (5) branch circuits for office remodel.
OWNER: MULL, GREGORY & GEORGE PHONE #:
CONTRACTOR: WILLAMETTE ELECTRIC INC PHONE #: 503 -624 -3631
Inspection Request Scheduled For: Date: 7/31/2008 Pour Time:
Code # Inspection Description F93firm # Contact # Message
199 Electiical final 07354; -01 503 -624 -3631 N
Corrections /Comments /Instructions:
•
c
\VI
'F_APASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ' IV 6 Le Date: 1311A Phone #: (503) 718- 1-141+6